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Integrated wilderness therapy for avoidant personality disorder.

Ingeborg Eikenaes1, Tore Gude, Asle Hoffart

  • 1Research Institute, Modum Bad, Vikersund, Norway. ingeborg.eikenes@piv.no

Nordic Journal of Psychiatry
|August 23, 2006
PubMed
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Integrated wilderness therapy (IWT) in inpatient programs shows promise for treating avoidant personality disorder (APD). While both IWT and traditional programs improved outcomes, IWT allowed for shorter treatment durations for more impaired patients.

Area of Science:

  • Psychiatry
  • Psychology
  • Therapeutic Interventions

Background:

  • Avoidant personality disorder (APD) presents significant treatment challenges due to pervasive social, emotional, and cognitive avoidance.
  • Limited research exists on treatment outcomes for APD, and no definitive therapy of choice has been established.
  • Existing inpatient group programs for APD require lengthy treatment durations.

Purpose of the Study:

  • To investigate the efficacy of integrating wilderness therapy into an inpatient group program for patients with APD.
  • To compare treatment outcomes between an integrated wilderness therapy (IWT) group and a standard inpatient comparison condition (CC).

Main Methods:

  • A quasi-experimental study comparing an 11.5-week IWT inpatient group (n=16) with a matched CC group (n=37) of patients diagnosed with DSM-IV APD.

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  • Participants were assessed at pre-care, admission, discharge, and 1-year follow-up.
  • Outcome measures were compared between the IWT and CC groups.

    • Main Results:

    • Both IWT and CC groups demonstrated significant improvements in patient outcomes.
    • No statistically significant differences in overall outcome were found between the IWT and CC groups.
    • Non-significant trends suggested potential differential effects, with males benefiting more from IWT and females from CC.

    Conclusions:

    • Integrating wilderness therapy into inpatient programs can potentially treat more impaired patients with APD in shorter timeframes.
    • The IWT approach achieved comparable outcomes to traditional inpatient programs.
    • Further research is warranted to explore gender-specific benefits and optimize integrated wilderness therapy protocols for APD treatment.